Healthcare Provider Details

I. General information

NPI: 1720351141
Provider Name (Legal Business Name): HUDSON FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NEWARK ST SUITE 203
HOBOKEN NJ
07030-4548
US

IV. Provider business mailing address

51 NEWARK ST SUITE 203
HOBOKEN NJ
07030-4548
US

V. Phone/Fax

Practice location:
  • Phone: 201-656-5600
  • Fax:
Mailing address:
  • Phone: 201-656-5600
  • Fax: 201-656-6533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHN ROTUNDO
Title or Position: CHIROPRACTOR/OWNER
Credential:
Phone: 201-656-5600